儿童骨筋膜室综合征的治疗
Treatment of compartment syndrome in children.
作者信息
Willis R B, Rorabeck C H
机构信息
Division of Orthopaedic Surgery, University of Western Ontario, London, Canada.
出版信息
Orthop Clin North Am. 1990 Apr;21(2):401-12.
A compartment syndrome is a symptom complex caused by elevated tissue pressure in a closed osseofascial compartment of a limb. Left unrecognized, it results in permanent damage to muscle and nerve in that compartment. The diagnosis of a compartment syndrome is contingent on the recognition of pain out of proportion with the injury as the most important early symptom. The pain is increased with passive stretching of the muscles in the involved compartment or on palpation of the involved muscles. Once the diagnosis is suspected, prompt treatment by appropriate fasciotomy should result in maintenance of normal limb function.
骨筋膜室综合征是一种由肢体封闭的骨筋膜室内组织压力升高引起的症状复合体。如果未被识别，它会导致该骨筋膜室内的肌肉和神经永久性损伤。骨筋膜室综合征的诊断取决于将与损伤程度不相称的疼痛识别为最重要的早期症状。在受累骨筋膜室内被动拉伸肌肉或触诊受累肌肉时，疼痛会加剧。一旦怀疑诊断，通过适当的筋膜切开术进行及时治疗应能维持肢体正常功能。
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